Posts Tagged ‘long-term care’

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In Long-Term Care, What’s Favoritism?

March 31, 2010

By Sheena Jones, an LPN who is in training to be an RN at Dutchess Community College, Poughkeepsie, NY

Birthday Cake/by Eggybird, via Flickr

Is it really fair when we get the favoritism speech from our superiors when we supply residents who have no family or friends with hygiene supplies? When there are two roommates and one has family and friends who visit daily and bring her all that she could need or want and the other has nothing and no one? Am I wrong for getting a couple of supplies from the dollar store for her? We all know that the hygiene supplies in many facilities are watered down and cheap. Am I wrong for buying someone some socks when they have none? We can’t share supplies or clothing between patients, so do I let someone walk around with nothing? If these people were my family or friends I would want someone to make them comfortable. They can’t leave the facility to go shopping with family or friends, and many of them have lost most of their mental capacity and have no one to help them—but that does not mean that they should walk around less put together than someone with a family? Do we just let these residents go without?

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A Nursing Student Learns the Trick of Reassurance

October 27, 2009

NovemberReflectionsI wasn’t sure why Mary Sue was in long-term care, but I could tell she had dementia. She spent most of her time in a recliner near the nurse’s station, asking anyone who walked by why she couldn’t go back to bed.

“It isn’t time yet, Mary Sue,” the staff would reply. I asked one of the nurses why they didn’t just take her back to bed. “When we do,” she told me, “she asks to return to the chair. Out here we can keep an eye on her. She can look out the window. She smiles more often.”

But I had yet to see a smile. This was my first rotation as a nursing student, and I tried to use techniques I’d read about to distract Mary Sue: towel folding, cards, books. But she remained on target, reaching out to me and repeating her request with a distraught look on her face. . .

Read the rest of the November Reflections essay,  written by a nurse looking back on her first nursing school rotation five years ago. The basic human need for reassurance is shared by all of us, whether we are patients or providers. What do you do to stay centered during the day, to remind yourself of your own value, to focus on what really matters . . . or just to stay in the game?

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Dying in Agony in America’s Nursing Homes – Case Study Poses Ethical Quandaries for Nurses

June 1, 2009

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“Oh, that hurts! You’re hurting me. Please, please, just leave me alone. Please stop.” These were the words of Louis Daly, a friendly, cognitively alert African American man in his late 80s, as nurses were changing the dressing on his stage IV pressure ulcer two days before he died. (This is a real patient; his name and other identifying details have been changed.)

So starts “Dying with a Stage IV Pressure Ulcer” in the January issue of AJN. Read the rest of this entry ?

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